Organization
BACK IN ACTION REHABILITATION S.C.
Active
Parent organization
BACK IN ACTION REHABILITATION SC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BACK IN ACTION REHABILITATION SC
Authorized official
SHARON WUNSCH (OFFICE MANAGER)
(920) 922-7776
Entity
Organization
Contact information
Practice address
1057 FOND DU LAC AVE, KEWASKUM, WI 53040-9495
(262) 626-6700
Mailing address
103 S PIONEER RD # 100, FOND DU LAC, WI 54935-3871
(920) 922-7776
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
05/29/2007
Last updated
11/01/2010
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